Evidence map›Paper›PMID 26943779›Full record

ReviewNature reviews. Neurology2016

Disease-modifying therapies and infectious risks in multiple sclerosis.

Alexander Winkelmann, Micha Loebermann, Emil C Reisinger, Hans-Peter Hartung, Uwe K Zettl

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 124 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 3 pooled it
15.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04300868 unknown statusnot on this mapstarted 2019, after this paper: background citation

Immunisation Status Against Major Communicable Diseases Preventable With Vaccines, and Safety of Vaccines, in a Cohort of MS Patients. An Italian Multicenter Study

TypeobservationalSponsorMonica UlivelliRan2019 to 2023Enrolled3,000ConditionsMultiple Sclerosis
NCT05081271 early_phase1terminatednot on this mapstarted 2021, after this paper: background citation

COVID-19 Booster Vaccination in Persons With Multiple Sclerosis

TypeinterventionalSponsorGriffin HospitalRan2021 to 2022Enrolled10ConditionsMultiple SclerosisArmsHomologous booster, Heterologous booster
3 · Its place in the literature

Who cites it

124 citing papers in PubMed, 3 syntheses or guidelines pooled it, 248 citations in OpenAlex.

  1. Pooled it
  2. The relative risk of infection in people with multiple sclerosis using disease-modifying treatment: a systematic review of observational studies.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Observational
  9. Towards primary prevention of multiple sclerosis.Nature reviews. Neurology · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Local control of T cell fate in lymph nodes safely and durably reverses myelin-driven autoimmunity.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. Article
  15. Article
  16. Modulation of antibody transport in the brain and spinal cord through the intranasal pathway.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Alexander WinkelmannDepartment of Neurology, University of Rostock, Gehlsheimer Strasse 20, 18147 Rostock, Germany.
Micha LoebermannDepartment of Tropical Medicine and Infectious Diseases, University of Rostock, Ernst-Heydemann-Strasse 6, 18057 Rostock, Germany.
Emil C ReisingerDepartment of Tropical Medicine and Infectious Diseases, University of Rostock, Ernst-Heydemann-Strasse 6, 18057 Rostock, Germany.
Hans-Peter HartungDepartment of Neurology, Heinrich Heine University Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
Uwe K ZettlDepartment of Neurology, University of Rostock, Gehlsheimer Strasse 20, 18147 Rostock, Germany.
University of Rostock · DEHeinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunomodulatory and immunosuppressive treatments for multiple sclerosis (MS) are associated with an increased risk of infection, which makes treatment of this condition challenging in daily clinical practice. Use of the expanding range of available drugs to treat MS requires extensive knowledge of treatment-associated infections, risk-minimizing strategies and approaches to monitoring and treatment of such adverse events. An interdisciplinary approach to evaluate the infectious events associated with available MS treatments has become increasingly relevant. In addition, individual stratification of treatment-related infectious risks is necessary when choosing therapies for patients with MS, as well as during and after therapy. Determination of the individual risk of infection following serial administration of different immunotherapies is also crucial. Here, we review the modes of action of the available MS drugs, and relate this information to the current knowledge of drug-specific infectious risks and risk-minimizing strategies.

Indexed as

AnimalsAntibodies, Monoclonal, HumanizedCommunicable DiseasesFingolimod HydrochlorideHumansImmunosuppressive AgentsMultiple SclerosisRisk FactorsAntibodies, Monoclonal, HumanizedFingolimod HydrochlorideImmunosuppressive Agents

Identifiers

PMID26943779
OpenAlexW2327614140

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.